49D1060677 CLIA NUMBER - KAISER PERMANENTE ASHBURN MEDICAL CENTER LABORTORY

Laboratory Demographics

  • CLIA Code: 49D1060677
  • Facility Name: KAISER PERMANENTE ASHBURN MEDICAL CENTER LABORTORY
  • Facility Address: 43480 YUKON DRIVE - SUITE 100
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 301 816-6328
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. MARTINA Z. LIU
  • NPI Number: 1740340983
  • Taxonomy: 3336M0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1060677
LAB Type Health Main. Organization
Facility Name KAISER PERMANENTE ASHBURN MEDICAL CENTER LABORTORY
Street 43480 YUKON DRIVE - SUITE 100
City ASHBURN
State VA
ZIP 20147
Phone 301 816-6328
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Health Main. Organization
Lab Director DR. MARTINA Z. LIU

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This page was last updated on: 9/29/2025